The non pierced handmade helix cuffs are made to be worn on the upper ear, as shown in pictures 1, 2 & 3 and the Conch Captive Ball Ear Cuff is made to be worn as shown in pictures 1, 2 & 4. It has the look of a helix ball closure ring or captive ball ring, so looks like a typical piercing. The ball is freely moving, so it looks like the ring is capable of moving. No piercing is required...